Natural disasters and myocardial infarction: the six years after Hurricane Katrina.

Autor:	Peters MN; Department of Internal Medicine, Tulane University Health Sciences Center, New Orleans, LA. Electronic address: mattpeters25@gmail.com., Moscona JC; Department of Internal Medicine, Tulane University Health Sciences Center, New Orleans, LA., Katz MJ; Department of Internal Medicine, Tulane University Health Sciences Center, New Orleans, LA., Deandrade KB; Tulane University Heart and Vascular Institute, New Orleans, LA., Quevedo HC; Tulane University Heart and Vascular Institute, New Orleans, LA., Tiwari S; Tulane University Heart and Vascular Institute, New Orleans, LA., Burchett AR; Department of Internal Medicine, Tulane University Health Sciences Center, New Orleans, LA., Turnage TA; Department of Internal Medicine, Tulane University Health Sciences Center, New Orleans, LA., Singh KY; Tulane University Heart and Vascular Institute, New Orleans, LA., Fomunung EN; Department of Internal Medicine, Tulane University Health Sciences Center, New Orleans, LA., Srivastav S; Tulane University Heart and Vascular Institute, New Orleans, LA., Delafontaine P; Tulane University Heart and Vascular Institute, New Orleans, LA., Irimpen AM; Tulane University Heart and Vascular Institute, New Orleans, LA; Southeast Louisiana Veterans Affairs Medical Center, New Orleans, LA.
Jazyk:	angličtina
Zdroj:	Mayo Clinic proceedings [Mayo Clin Proc] 2014 Apr; Vol. 89 (4), pp. 472-7. Date of Electronic Publication: 2014 Mar 18.
DOI:	10.1016/j.mayocp.2013.12.013
Abstrakt:	Objective: To determine the prolonged effect of Hurricane Katrina on the incidence and timing of acute myocardial infarction (AMI) in the city of New Orleans. Patients and Methods: Our study population consisted of 1476 patients with AMI before (August 29, 1999, to August 28, 2005) and after (February 14, 2006, to February 13, 2012) Hurricane Katrina at Tulane University Health Sciences Center to determine post-Katrina alterations in the occurrence and timing of AMI. Results: Compared with pre-Katrina values, there was a more than 3-fold increase in the percentage of admissions for AMI during the 6 years after Hurricane Katrina (P<.001). The percentage of admissions for AMI after Hurricane Katrina increased significantly on nights (P<.001) and weekends (P<.001) and decreased significantly on mornings (P<.001), Mondays (P<.001), and weekdays (P<.001). Patients with AMI after Hurricane Katrina also had significantly higher rates of psychiatric comorbidities (P=.01), smoking (P<.001), lack of health insurance (P<.05), and unemployment (P<.001). Conclusion: These results indicate that the effect of natural disasters on the occurrence of AMI may persist for at least a 6-year period and may be related to various factors including population shifts, alterations in the health care system, and the effects of chronic stress and associated behaviors. (Copyright © 2014 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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